Baker Nancy A, Rogers Joan C, Rubinstein Elaine N, Allaire Saralynn H, Wasko Mary Chester
Department of Occupational Therapy, University of Pittsburgh, Pittsburgh, PA 15260, USA.
Arthritis Rheum. 2009 May 15;61(5):614-22. doi: 10.1002/art.24465.
To describe the prevalence of computer use problems experienced by a sample of people with arthritis, and to determine differences in the magnitude of these problems among people with rheumatoid arthritis (RA), osteoarthritis (OA), and fibromyalgia (FM).
Subjects were recruited from the Arthritis Network Disease Registry and asked to complete a survey, the Computer Problems Survey, which was developed for this study. Descriptive statistics were calculated for the total sample and the 3 diagnostic subgroups. Ordinal regressions were used to determine differences between the diagnostic subgroups with respect to each equipment item while controlling for confounding demographic variables.
A total of 359 respondents completed a survey. Of the 315 respondents who reported using a computer, 84% reported a problem with computer use attributed to their underlying disorder, and approximately 77% reported some discomfort related to computer use. Equipment items most likely to account for problems and discomfort were the chair, keyboard, mouse, and monitor. Of the 3 subgroups, significantly more respondents with FM reported more severe discomfort, more problems, and greater limitations related to computer use than those with RA or OA for all 4 equipment items.
Computer use is significantly affected by arthritis. This could limit the ability of a person with arthritis to participate in work and home activities. Further study is warranted to delineate disease-related limitations and develop interventions to reduce them.
描述关节炎患者样本中计算机使用问题的患病率，并确定类风湿关节炎（RA）、骨关节炎（OA）和纤维肌痛（FM）患者在这些问题严重程度上的差异。
从关节炎网络疾病登记处招募受试者，并要求他们完成一项为本研究开发的调查——计算机问题调查。计算了总样本和3个诊断亚组的描述性统计数据。使用有序回归来确定诊断亚组在每个设备项目方面的差异，同时控制混杂的人口统计学变量。
共有359名受访者完成了调查。在报告使用计算机的315名受访者中，84%报告了因基础疾病导致的计算机使用问题，约77%报告了与计算机使用相关的一些不适。最有可能导致问题和不适的设备项目是椅子、键盘、鼠标和显示器。在这3个亚组中，与RA或OA患者相比，FM患者中报告在所有4种设备项目上因计算机使用而出现更严重不适、更多问题和更大限制的受访者明显更多。
计算机使用受到关节炎的显著影响。这可能会限制关节炎患者参与工作和家庭活动的能力。有必要进行进一步研究以明确与疾病相关的限制并制定干预措施来减少这些限制。
